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[颈静脉鼓室化学感受器瘤的栓塞治疗。价值、适应证及结果]

[Embolization in the jugulo-tympanic chemodectoma. Value, indications and results].

作者信息

Picard L, Friot J M, Roland J, Sigiel M, Wayoff M

出版信息

Ann Otolaryngol Chir Cervicofac. 1976 Apr-May;93(4-5):263-74.

PMID:182054
Abstract

Jugulo-tympanic chemodectomas are usually treated by means of surgical ablation and radiotherapy, these two techniques being used either in isolation or association. The recent advent of embolization, which has undergone considerable development in the field of vasular neuro-radiology within the last few years, open up new therapeutic possibilities for these vascular tumours. A study of three personal cases, followed up after a substantial lapse of time, gives a good idea of the importance of embolization in the therapeutic armoury. In fact, although embolization used alone can cause a reduction in functional symptomatology and even and objective clinical improvement (disappearance of some lesions of the cranial pairs, for exemple), it is regularly followed by repermeabilization of the various pediculi. Embolization used in isolation should therefore be reserved for patients who are inoperable for reasons for extension or associated deficiencies. Embolization appears to be of value before the operation as it results in less haemorrhage and may also be of value before radiotherapy.

摘要

颈鼓室化学感受器瘤通常采用手术切除和放射治疗,这两种技术可单独使用或联合使用。栓塞术近年来在血管神经放射学领域有了很大发展,它为这些血管性肿瘤开辟了新的治疗可能性。对三例个人病例进行了长时间随访研究,很好地说明了栓塞术在治疗手段中的重要性。事实上,虽然单独使用栓塞术可使功能症状减轻,甚至出现客观的临床改善(例如某些颅神经病变消失),但随后各蒂部常会再通。因此,单独使用栓塞术应仅用于因肿瘤扩展或合并缺陷而无法手术的患者。栓塞术在手术前似乎有价值,因为它可减少出血,在放疗前也可能有价值。

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